Healthy assemblages of Isidella elongata unintentionally protected from trawling offshore of Asinara Island (northwestern Sardinia, NW Mediterranean Sea).

Deep-sea coral assemblages are marine biodiversity hot spots. Because of their life history traits, deep-sea corals are highly vulnerable to the impacts of human activities such as fishing. The critically endangered "bamboo coral" Isidella elongata is a key structuring species of deep muddy bottoms that is susceptible to habitat destruction, particularly from trawling. A shallow population of this species was recently discovered by a multibeam and ROV survey offshore of the Asinara Island marine protected area (MPA) (northwestern Sardinia, NW Mediterranean Sea). This vulnerable marine assemblage has been found under healthy conditions at depths ranging from 110 to 298 m. Isidella elongata occurs on a muddy seafloor locally characterised by boulders associated with black coral species (Parantipathes larix and Antipathes dichotoma). The lush colonies of I. elongata seem to be related to natural protection from bottom trawling activity; nevertheless, the presence of lost fishing artisanal nets has been observed in the study area. These structuring species are indicators of vulnerable marine ecosystems, and their conservation is essential for preserving marine biodiversity. Therefore, enlarging the perimeter of the Asinara Island MPA into its deeper western waters is suggested to ensure the protection of these valuable and vulnerable marine ecosystems.

A systematic review of the costs of diagnosis for multidrug-resistant/extensively drug-resistant TB in different settings.

BACKGROUND: We performed an analysis of the cost and relative merits of different strategies for the diagnosis of multidrug-resistant/extensively drug-resistant TB (MDR/XDR-TB) in different settings.METHODS: We systematically reviewed the published evidence on cost/cost-effectiveness of rapid MDR/pre-XDR-TB and other methods for XDR-TB testing up to September 2022. PRISMA guidelines were followed. Collected data were analysed using Stata v17 software. Cost data were reported in USD ($) and summarised by mean, standard deviation, and range. Country income level was defined according to the World Bank country classification. Three simplified scenarios were also used to explore testing implications, based on low, intermediate and high TB incidence.RESULTS: Of 157 records, 25 studies were included with 24 reporting the cost of Xpert/RIF and two that evaluated the implementation of the MTBDRplus test. The total rapid test cost ranged from $12.41-$218, including $1.13-$74.60 for reagents/consumables and $0.40-$14.34 for equipment.CONCLUSION: The cost of MDR/XDR-TB diagnostics is lower in low resource settings. However, the cost-effective implementation of MDR/XDR-TB diagnostic algorithms requires careful consideration of local resources to avoid missed identification and the use of inappropriate regimen.

[Spontaneous cholecysto-cutaneous fistula. Observation of a case and review of the literature]. / La fistola colecisto-cutanea spontanea. Osservazione di un caso e revisione della letteratura.

A case of spontaneous gallbladder-cutaneous fistula is reported with emphasis on the rarity of this lesion after the introduction of cholecystectomy.